title: Peritoneal metastases after laparoscopic nephron-sparing surgery for localized Wilms tumor.
abstract: A 2-year-old girl was referred for the management of the progression of her localized Wilms tumor. She had undergone laparoscopic nephron-sparing surgery for her right Wilms tumor 3 months earlier. Postoperative chemotherapy was commenced 6 weeks later. Subsequent computer tomographic evaluation 12 weeks postsurgery showed local recurrence and peritoneal tumors. These findings were confirmed at laparotomy. We report the first case of peritoneal tumor dissemination after laparoscopic nephron-sparing surgery for localized Wilms tumor.
authors.affiliation: Surgery Centre for Children Pte Ltd, Mount Elizabeth Medical Centre, Singapore. chchui@surgeryforchildren.com
authors.forename: Chan-Hon
authors.initials: CH
authors.lastname: Chui
authors.forename: Anselm Chi-Wai
authors.initials: AC
authors.lastname: Lee
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003609:Dactinomycin / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000188:drug therapy / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D020360:Neoadjuvant Therapy; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy; D009366:Neoplasm Seeding; D009392:Nephrectomy / Q000379:methods*; D009852:Omentum / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D017211:Treatment Failure; D014750:Vincristine / Q000008:administration & dosage; D009396:Wilms Tumor / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery
chemical_list: D003609:Dactinomycin; D014750:Vincristine; D004317:Doxorubicin